42743_KOSTA, ROBERT_20050830

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LAMA/ ❑DREDGE & FILL
GENERAL PERMIT
Previous permit#
❑New ❑Modification El Complete Reissue ❑Partial
Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern
pursuant to I SA NCAC
�, �e, 4 k.. *06g4.
❑ Rules attached.
Project Location: County
Applicant Name (
Address h -� UwCk !r t l L
Street Address/ State Road/ Lot #(s)
City State ZIP .2.,�'SG.6
r
Phone •# Fax #
Subdivision
I
Authorized Agent
City ZIP
Affected ❑ CW _[P-EW [aPTA ❑ ES ❑ PTS
Phone # ( ) River Basin _
y
AEC(s): ElOEA ❑ HHF [IIH ❑ USA El N/A
Body Adj. Wtr. B(nat /man /unkn
❑ PWS: El FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity c
R ti '> to.
(Scale: )
Pier (dock) length
-
Platform(s)
Finger pier(s) -
I
-1—
I
A,
Groin length
--
-
-'-
ber
ulkh Riprap length -. _
= 1 T - --
--
- -`1
-- -
y
--
---
avg distance offshore
max distance offshore
i
Basin, channel -
- -- -
i
cubic yards _ i `
_
-
illy -
jj-�-
Boat ramp `.
� ` t- }
t
1
I -� �
'
:i
T ---
- -�--
•- -
-
-
i
j
Boathouse/ Boatlift
i
Beach Bulldozing
-
y �=
:
- -
-• -l�T
`Other
-
, -
i
- -
-
a
i
Shoreline Length
' —
SAM not sure yes noloti
Sandbags: not sure no
yes
Moratorium: n/a yes no
Photos: yes no-
T
-
—
--
t
-
Waiver Attached: yes no
A building permit may be required by: VE/V
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions � : � •e
i ✓ , � �� ��i /�" •e�- � `�` %r- `
/�I�C9-+-�
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local PlanningJurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
L_ Tar - Pamlico River Basin Buffer Rules EJ Other:
[] Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

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NT RIPARIAN PROPERTY OWNER STATEMENT
r certify that I own property adjacent to "fig E7 J: V��-UA - `� "<�
(Name of Property ner)
property located at
I—o1
(Lot, Block, K62d, ect.)
in r1EW I GQA V F V4 , N.C.
(Weterbody) (Town and / or County)
He has described to me as shown below, the development he is proposing at that
location, and I have no objections to his proposaL
DESCRWnO1i AND / OR DRAWING OF PROPOSED DEVELOPMENT:
(To be„ Ukd In by fnd'tvral pr ng r1e Wopmerio
C xTC.N� �� �sT► N� taot,� Q�k a1 t X w APr1.,LEL o
FxssT�NU SEw ����, �N� ��T��N Ex�sT�s�6 l i�ltJro.
( See the attached Drawing )
Print or Nacre
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i hereby certify that I omen property adjacent to + �-Rtc- I "��
(Name of Property ner)
property located at
L!A NE
, ect.)
01 a1
on � A I r \ c. lb lA aR%6uv. _,in / 691" EN , N.C.
(Waterbody) (Town and / or County)
He has described to me as shown below, the development he is proposing at that
location, and I have no objections to his proposal.
DESCRIPTION AND / OR DRAWING OF PROPOSED DEVELOPMENT:
(To bc- filled in bz lnJiridual proposing development)
Cx�eu��►ST�r,G Derck A��`,� �! L X w �pR�RLLEL ��
( See the attached Drawing )
Signature /
-'-k U.� �' VyC' cle r,
Print or Type Name
Telephone Number
Date

1q S e- . r i r n a m e d d e u m e t, See b n r,k d e t u i
IUIEDfORD MARINE CONTRACTORS 09-03;f'�,%'�r,l �; �r .(fit ♦��'•
t�\ l j , R003ERT N IiASKCNS SR, GIL HASKINS �,�� f \�-N `�l �r ,� �!`�f�`ti
f 7 l r�-\fr',t� jet
♦ /\ 410 CHURCH RD. 252-635 5242 ! ! l I
�`f ♦r `� t' - - NEW BERN, NC 28560 ,' s4l'4\ll`�r '�.l\!'A
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AY
TO THE .' ,\l/ ♦ ��,' , \lplp\��1,.� lf`'! ` yf �\ f V \
.m ORDER OF +\ < :` ,/:' -.'%,' ,. l ,l !T . / `� '� ♦ r �`♦ � .t / ® (>1S
l�/ ' DOLLARS
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FIRST GITIZEI\IS„2 �'t' 1ft! '
T t,•, 'l, i�TI7 FirstLicizcrx Bank &Trust Comp- y l`Il * j�5 % �f l! �.�( - *�\'`/', t l.'
> ♦ New Bcrn,N.C. 28562 N 1'�� N' -,
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